Alberta Aids to Daily Living Bulletin #80 - Specialist Link
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Alberta Aids to Daily Living Bulletin #80 If access issues arise, we encourage General Information on clients, clinicians, caretakers and vendors Coronavirus and Alberta Aids to communicate directly and find solutions. to Daily Living (AADL) AADL is providing this information as a Clients are encouraged to contact their guide to our stakeholders during the vendors to confirm store hours and make COVID-19 pandemic response. arrangements for benefit delivery if We are making every effort to maintain required. AADL operations as the situation evolves. Currently, E-business is available, and However, access to benefits may be claims will continue to be paid as usual. If delayed by circumstances out of our this situation changes, we will provide control. Your patience is appreciated. updates via notification on E-business and AADL will process authorizations required follow up bulletins for palliative care or imminent hospital To manage limited mail room capacity: discharge on an urgent basis. All other Please submit all documents via requests will be processed as soon as fax to 780-422-0968, including possible with the resources available. 1250 authorization forms, work We kindly ask you to consider how urgently orders and application forms. benefits are needed, explore alternate 1251 Wheelchair Authorization strategies, and postpone requests if they Forms must be submitted by mail are not time-critical. due to dimensions of the form. Please be aware that, during this pandemic, Please take special care that client assessments may be delayed or writing on faxes is legible cancelled as AADL Authorizers are urgently Please send each document only required in other areas of healthcare. once. Do not mail in copies of Delivery of benefits also may be disrupted documents that were faxed. as vendors and caretakers enact policies to Please watch these bulletins for updates protect staff and people in care. and contact AADL if you have any questions. Our contact list is available at https://www.alberta.ca/assets/documents/a AADL is not responsible for partner adl/aadl-contact-list.pdf organizations’ resource allocation or pandemic response policies. www.health.alberta.ca/services/aids-to-daily-living.html ©2020 Government of Alberta | Published March 2020
Respiratory benefits Safe use of oxygen and equipment An exceptional funding process is now in instruction will continue to be required for place for respiratory benefits, to reduce new oxygen starts. If the RRT assessment burden on the healthcare system and cannot be done (phone or in person) within minimize delays in adjudication. policy requirements (48 hours for new oxygen starts), enter the start date (when For respiratory funding authorizations equipment was give to the client) for the where required testing is unavailable or RRT assessment date. delayed due to pandemic response measures: In the event that an Arterial Blood Gas ‐ Enter “COVID 19” and a brief (ABG) is unable to be obtained, please summary of the issue in the enter a PaO2 value of 10. We will accept Authorization Comments section. oximetry that documents the need for ‐ If this comment is not entered, the oxygen. provider may be found non-compliant and subject to cost recovery. If a particular test is missing (other than Providers will not be expected to have ABG), enter an acceptable value as Registered Respiratory Therapist (RRT) outlined in policy and select that you have assessments done within the current policy the documentation to upload. In the timelines. comments section, enter “COVID 19“ and a description of what is missing, as well as RRT assessments conducted over the any information that has been used as a phone will be accepted. substitute. This process is subject to change Authorizations will be approved for depending on ongoing consultation with exceptional funding for a period of time to Alberta Health, AHS and Alberta Blue allow for testing at a later date, based on Cross regarding COVID-19 precautions, the comments provided. Please note that etc. Any changes will be communicated in these funding expiry dates may be different follow-up bulletins. than anticipated. www.health.alberta.ca/services/aids-to-daily-living.html ©2020 Government of Alberta | Published March 2020
Mobility and large equipment We are providing guidance only on the What you should know cleaning and disinfection of AADL Commonly used cleaners and disinfectants are equipment to help break the cycle of effective against COVID-19. infection and reduce risk of Frequently touched surfaces are most likely transmission. contaminated. Current evidence suggests that novel For more information about COVID-19, coronavirus may remain viable for hours to days please consult your employer, your on surfaces made from a variety of materials.1 professional organization and resources Use only disinfectants that have a Drug from public health authorities including Identification Number (DIN). A DIN is an 8-digit the Public Health Agency of Canada. number given by Health Canada that confirms it is approved for use in Canada. Check the expiry date of products you use and Disinfecting recyclable AADL equipment always follow manufacturer’s instructions. 1 Use best practice hand washing hygiene https://www.cdc.gov/coronavirus/2019- ncov/prepare/cleaning-disinfection.html before and after contact with any client and the equipment requested. Prepare equipment for use. Where possible, use pre-mixed disinfecting solution and or follow manufacturer instructions for cleaning. Spray equipment and wipe off as needed while wearing gloves. Read and follow manufacturer’s instructions to allow adequate contact time for disinfectant to kill the germs (see product label). Wear gloves when handling cleaning products, including wipes. Wear any other personal protective equipment recommended by the manufacturer. After cleaning equipment, use hand washing hygiene. www.health.alberta.ca/services/aids-to-daily-living.html ©2020 Government of Alberta | Published March 2020
Medical-Surgical benefits Authorizers (please note the following is at the Vendors discretion of the clinic or Authorizer) Vendors may dispense products for active Community Aids for Independent Living authorizations for May/June 2020 and (CAIL - Edmonton) may contact AADL and invoice AADL at regular timelines. request extensions for those who have Vendors must not charge AADL for shippi booked appointments to reassess for or add an upcharge on products to cover incontinence products, catheters and shipping costs. Shipping costs are the ostomy products only. responsibility of the vendor and/or client. Calgary Community Aids for Clients who have authorizations that are not Independent Living (CCAIL) may contact active must contact AADL directly regarding AADL and request extensions for those extension and short term reinstatement of who have booked appointments for authorizations. reassessments for incontinence products and catheters only. Vendors must not advise clients that AADL will automatically extend or Clients requiring reassessments for reinstate authorizations. It is the sole ostomy products in Calgary and area, discretion of AADL to do so after must continue to contact the hospital in reviewing the client’s past usage. which they had surgery. Hospital Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC) may contact AADL and request extensions for ostomy products if neeed. Provincially, Supportive Living and homecare staff may contact AADL and request extensions for their clients. Clients who are more independent can call AADL directly and request an extension or a reinstatement of their AADL authorization. Authorizers must not communicate to clients that AADL will automatically extend or reinstate authorizations. It is the sole discretion of AADL to do so after reviewing the client’s past usage. www.health.alberta.ca/services/aids-to-daily-living.html ©2020 Government of Alberta | Published March 2020
Communication benefits Voice Restoration and Electrolarynx Speech Generating Communication Benefits (VRE) Devices (SGCD) Laryngectomy patients are considered high Applications for new SGCDs will be dealt risk given their medical status with open with as capacity allows. airways to the larynx. This may result in a potential need for additional VRE supplies SGCD recycle equipment: Service Centres over AADL stated quantities (i.e., voice will follow manufacturers’ recommendations prosthesis, laryngectomy tubes, heat- regarding cleaning outside surfaces of moisture filters). Such requests from SGCD equipment. authorizers will be dealt with by AADL on a case-by-case basis for over quantity limits. Authorizers for SGCD Communication Benefits: School districts are currently closed for students. It is unknown what role school-based SGCD Service Centre authorizers (SLPs & OTs) will have during school closures. Alberta Health Service (AHS)-based authorizers for SGCD will advise on their capacity to meet with patients in the coming days as AHS priorities change. www.health.alberta.ca/services/aids-to-daily-living.html ©2020 Government of Alberta | Published March 2020
Seating, prosthetic and orthotic (including ocular prosthetic and footwear) benefits Seating Authorizers and Vendors, and Prosthetic, Orthotic and Footwear Specialty Assessors/Suppliers, should follow their facility’s Infection Prevention and Control (IPC) direction and best practices with respect to COVID-19, including but not limited to incorporating risk mitigation strategies and practices endorsed by: Government of Alberta ‐ https://www.alberta.ca/coronavirus-info- for-albertans.aspx Alberta Health Services - IPC Resources ‐ Emerging Issues (COVID-19): https://www.albertahealthservices.ca/inf o/Page10531.aspx#ncov. ‐ General: https://www.albertahealthservices.ca/inf o/Page6410.aspx. Where implications of COVID-19 may impact the aforementioned benefit-specific Authorizers’, Vendors’, and Specialty Assessors’/Suppliers’ ability to operationalize associated AADL Program policies and procedures, they should notify Stanley Kolodziej, AADL Program Manager, Assistive Devices and Equipment, at: Stanley.kolodziej@gov.ab.ca. www.health.alberta.ca/services/aids-to-daily-living.html ©2020 Government of Alberta | Published March 2020
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